BETHANY J SLATER (MD, MBA) – Pediatric Surgery Physician, NPI 1669668869
Pediatric Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for BETHANY J SLATER (MD, MBA)
201 N GARLAND CT UNIT 2310
CHICAGO, IL 606013721
Phone: (650) 804-4140
Type: Mailing
5841 S MARYLAND AVE # MC4062
CHICAGO, IL 606371443
Phone: (773) 702-6175
Fax: (773) 304-2510
Type: Location
188 E 70TH ST APT 8C
NEW YORK, NY 100215168
Phone:
Type: Mailing
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
Phone: (650) 804-4140
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $8,942.
Total Amount is formed as General ($6,349) + Research ($2,594) + Ownership ($0) = $8,942.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bolder Surgical, LLC ($4,032).
Total Amount
$8,942
General + Research + Ownership
Payments
30
Total payment records
General Amount
$6,349
General payments
Research Amount
$2,594
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bolder Surgical, LLC | $4,032 |
| Cook Research Incorporated | $2,594 |
| Hologic Sales and Service, LLC | $1,255 |
| Stryker Corporation | $366 |
| Asensus Surgical, Inc. | $189 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170301000984 | I | General Practice | IL | TBD |
| I20251016001476 | I | General Surgery | NY | TBD |
| I20251223003300 | I | General Surgery | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60601)
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